Chidinma Abengowe

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Austin, TX

NPI 1013565803 · NPPES record last updated Aug 27, 2019

Key facts

NPI
1013565803
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2015 San Jacinto Blvd
Austin, TX 78712
Phone
(512) 232-4248
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer
Group: 193200000X MULTI-SPECIALTY GROUP
2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2015 San Jacinto Blvd
Austin, TX 78712

Mailing address

3821 Citadel Dr
Garland, TX 75040-1082

Other providers in Austin, TX

All providers in Austin, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.